Charlie Health

RCM Specialist

Nashville, TN · Full-time

Sponsorship not specifiedDetected 16 hours ago

ComplianceHIPAACommunicationClaims Management

About the role

This role is responsible for driving the foundational stages of the reimbursement cycle by managing initial and mid-stay authorizations, payor notifications, and daily billing system triaging.
Securing timely authorizations and maintaining precise documentation is a critical step in the financial process, directly preventing coverage gaps and administrative denials.
By proactively managing these worklogs, this specialist ensures steady revenue flow, minimizes financial risk during a client's treatment stay, and protects the organization's ability to get reimbursed for services.

Executing ad hoc authorization and billing tasks as directed by management to support general department workflows and revenue capture.
We have a roster of agencies with whom we partner, and we will not pay any fee associated with unsolicited referrals.

Proficiency with RCM billing systems and workflow triaging to effectively navigate and manage daily electronic task queues
Knowledge of all confidentiality requirements (HIPAA) regarding patients and strict maintenance of proper confidentiality on all such information

Charlie Health is pleased to offer comprehensive benefits to all full-time, exempt employees.
Read more about our benefits here. #LI-H YBRID
If you are interested in exploring opportunities at Charlie Health, please go directly to our Careers Page: https://www.charliehealth.com/careers/current-openings.
In addition, Charlie Health will not ask for your personal banking information until you have signed an offer of employment and completed onboarding paperwork that is provided by our People Operations team.
All communications with Charlie Health Talent and People Operations professionals will only be sent from @charliehealth.com email addresses.
Submitting initial authorization requests and tracking progress through final payor outcome to ensure coverage is active prior to service delivery.
Managing and submitting new policy authorization requests for active clients who experience a change in coverage mid-treatment stay.

We are looking for a candidate who is inspired by our mission and excited by the opportunity to build a business that will impact millions of lives in a profound way.
Charlie Health will never ask you to pay a fee or download software as part of the interview process with our company.

This listing is sourced directly from Charlie Health's careers page and normalized into a canonical job model.